⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Brittany CoganFNP-C

Nurse Practitioner · New Paris, PA 15554

NPI: 1134880198

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36

🟠 Elevated

🤖 ML Fraud Detection Score: 88%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

High long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

10,784

Total Claims

$536K

Drug Cost

119

Beneficiaries

$4,502

Cost/Patient

Risk Score Breakdown 36/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-70%

Opioid rate vs peers

1.1% vs 3.8% avg

+283%

Cost per patient vs peers

$4,502 vs $1,174 avg

+40%

Brand preference vs peers

12.4% vs 8.9% avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

🤖

ML fraud detection score of 88% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 out of 20 decision trees flagged this provider.

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

1.1%

Opioid Rate

122

Opioid Claims

$12K

Opioid Cost

32.0%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,329 claims · $405K

Generic: 9,362 claims · $128K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban322$53K
Dulaglutide37$43K
Insulin Glargine,hum.Rec.Anlog62$21K
Semaglutide19$18K
Empagliflozin73$17K
Fluticasone/Umeclidin/Vilanter19$13K
Insulin Glargine,hum.Rec.Anlog16$10K
Mirabegron64$7,926
Rivaroxaban54$7,151
Sacubitril/Valsartan21$6,800
Fluticasone/Vilanterol17$6,440
Linagliptin45$5,828
Methenamine Hippurate167$4,443
Ertugliflozin Pidolate52$4,393
Insulin Glargine/Lixisenatide12$4,233

Prescribing Profile

127

Unique Drugs

$86K

IRA Negotiated Drugs

$62K

GLP-1 Drugs

36.0

Anomaly Score

Patient Profile

77

Avg Age

71%

Female

2.87

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About